Health Information Exchange (HIE): Where We Are and What s Ahead

Health Information Exchange (HIE): Where We Are and What s Ahead

What is HIE? Health information exchange (HIE) is the ability to electronically exchange patient health information including: Lab results Pathology results Radiology reports Orders Patient care summaries (CCDs) Transcriptions Referrals Consult reports Meds, allergies, problem lists when it s needed for patient care. (all data shared safely & securely, meeting or exceeding HIPAA standards) 2/14/2011 2

How Does HIE Work? 2/14/2011 3

Why HIE? HIE Will Help You & Patients Because It Improves Patient Care Saves Time Reduces Costs Prepares You for Payment Reform (e.g., ACOs, Prometheus, Patient Centered Medical Home, Bundled Payments etc ) 4

About CORHIO Who We Are A nonprofit, public-private partnership The statedesignated entity for health information exchange (HIE) in Colorado Vision Shared health information for all individuals in every Colorado community promoting the right care, at the right time and the right place.

Helping Providers Connect CORHIO Provides the Following Services: Connecting Your Facility to the HIE Building EHR interfaces to HIE Implementing Inbox/Workflow tool Implementing Community Health Record Training & Workflow Optimization Practice workflow assessment 1-on-1, classroom & train-the-trainer options Help Desk services ongoing Facilitating Community Meetings Promoting collaboration between providers Collaborating with Community-wide Initiatives Clinical Steering Committee Building the Statewide HIE Network Including: EMPI, safety/security protections, QHN connection, governing policies and procedures etc. Ongoing maintenance, technology upgrades, etc. 6

Behavioral Health HIE Partners

Individuals Organize Local champions organize and begin to work together to establish a vision for HIE HIE Awareness & Education Community forums, presentations and demos of HIE with CORHIO staff Community Assessment Collaborate w/ CORHIO for community requirements. Submit planning assessment and community goals. Clinical Advisory Committee Identify members and collaborate with CORHIO to establish committee to advise on use of HIE to achieve clinical goals. Implementation HIE participants and CORHIO implement HIE functionality and interfaces. CORHIO facilitates training and provides ongoing support. ID Community HIE Participants Hospitals, providers, LTC, mental health, public health & local labs/imaging Leaders Engage Community leaders & decision makers join conversations about HIE in the community. Collaborate with CORHIO for support. Letters of Intent & Assessments Submit individual LOIs. Submit HIT Assessments. CORHIO provides costs & a draft community plan with resource needs. Sign Participation Agreements Finalize costs & implementation deliverables. Participants sign agreements and BAAs. CORHIO 2010

HIE Progress in Colorado September 2010 9

HIE Progress in Colorado Steamboat Northern Colorado September 2010 Grand Junction (QHN) Aspen (QHN) Summit Boulder NW Denver S. Denver CO Springs Montrose (QHN) San Luis Valley Pueblo 10

The Steps to HIE (Physicians) Improve Patient Care & Practice Efficiencies! 6. Implementation of HIE 5. Contract with CORHIO & EHR Vendor 4. Develop Organization Implementation Plan 3. Contact CORHIO: HIT Assessment 2. Readiness Assessment: Are You Ready for HIE? 1. Informed Choices: Learn About HIE 2/14/2011 11

Readiness Assessment Detail (from previous slide) Assess Your Technology If you have an EHR: Contact your vendor: Ask about your system s capabilities for interoperability & interface costs Questions to ask your vendor: available on www.co-rec.org (EHR vendor application) Then contact CORHIO for a formal HIT assessment Don t have an EHR? Consider purchasing an EHR: Review CO-REC s approved vendor list (coming soon!) Before you buy, use vendor contract language on CORHIO web site: www.corhio.org/for-providers/meaningful-useresources.aspx Ask about interface costs You can use the CORHIO Webbased Inbox/Workflow tool to exchange data without an EHR 2/14/2011 12

Practice Assessment Detail (continued) Assess Your Philosophical/Organizational Readiness: HIE provides value to facility and providers Champion for HIE at the facility Assess Your Financial Readiness: Prepared to invest in and maintain HIE connectivity 13

Behavioral Health Framework 2-year project Rose Community Foundation 2-year project Policy Framework: 1. Establish federal/state policies/laws 2. Determine right framework for CO 3. Advocate for any necessary changes 2/14/2011 14

More Information: www.corhio.org 2/14/2011 15